Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sally Daganzo, MD Inc

Organization Internal Medicine Physician · NPI 1629825500

Sally Daganzo, MD Inc is an Internal Medicine Physician in San Rafael, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4040 Civic Center Dr
San Rafael, CA 94903-4150
Phone: (415) 249-2580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1629825500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sally Daganzo — Ceo · (415) 249-2580
NPI enumeratedApril 30, 2024
Last updated in NPPESApril 30, 2024
Certification dateNovember 2, 2022
Mailing address454 Las Gallinas Ave # 1083, San Rafael, CA 94903-3618

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